Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02971 | Date 02/09/2019 |
| Token No | SM/18-19/6152 02/09/2019 | Serial | 010 |
| Patient Name | Master SK ARIF | Contact No | 9903030967 |
| Address | SHEORAFULI | Age | 4 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||